Idaho
Idaho bill that would require children to opt in to vaccine registry heads to House floor – Idaho Capital Sun
Idaho legislators advanced a bill on Monday that would require parents to opt in to the state’s vaccine registry, rather than Idaho’s existing policy that lets them to opt their children out.
Legislators on Idaho’s House Health and Welfare Committee on Monday advanced a bill that would require medical providers to only share the vaccination status of Idaho kids in a state-run database if their parents or caregivers say so.
Currently, Idaho’s immunization database, called the Immunization Reminder Information System, lets patients not be part of the database by opting out. If passed, the bill would take effect July 1, 2024.
Some health care professionals said the switch could leave Idaho medical offices with millions more in administrative costs.
Idaho’s children immunization rates, which have been among the lowest in the nation for years, fell in recent years as more people opted out of vaccines required for school, Idaho Education News reported last fall. Before the pandemic, 86.5% of Idaho kindergartners, first- and seventh-grade students were vaccinated. By 2021-22, only 80.2% were, Idaho EdNews reported.
House Majority Leader Megan Blanksma, R-Hammett, who is sponsoring House Bill 397, said she worried that Idahoans vaccination data — including for adults — is in Idaho’s vaccine database without them knowing. She referenced own experience finding out that her children’s and mother’s vaccine records were in the state database without their permission, after she opted out for her children. She also said Idaho’s vaccine database originally was “opt in” based.
As she closed debate on her bill, Blanksma said many Idahoans who received vaccines “don’t know that the government was collecting your data on that vaccine” because they weren’t given an informed consent form.
“That’s what should scare us more than anything else … that there’s data collection that people don’t know about, are completely unaware of. And that’s what this bill fixes,” Blanksma said. “It makes sure everyone knows where their medical data is going.”
Blanksma also said in the hearing that Idaho’s opt-out rate was low because it is difficult to opt out, and the bill would ensure that medical “providers don’t opt you in.”
“It’s become more complicated, and less transparent,” she said. “… Anytime the government is collecting your data, it should be transparent.”
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How would the opt-in changes affect medical providers?
The change should not require more state and federal funds, the bill’s fiscal note estimates. Blanksma also told the committee that she doesn’t expect increased costs for providers. She said under Idaho’s current opt-in model, “they are already providing the data to the government.”
But Rebecca Coyle, who said she was an expert on immunization registries, said if you assume that this would cost $10,000 to update each system, it’d cost over $10 million across the more than 1,000 clinics connected to Idaho’s vaccine registry. The medical system today is built for an “opt-out system,” she said, and adding consent files to those systems would be costly.
“It’s going to push a cost over $10 million in costs back to citizens of this state,” Coyle said, “for fewer than 1,000 people who have opted out since 2010.”
Many rural clinics would likely “fail to comply” with the bill because of the high costs of changing the reporting system, said Dr. Cristina Abuchaibe, a doctor in eastern Idaho who represented the Idaho chapter of the American Academy of Pediatrics.
“In order for every single potential patient to be given the choice, it will require extra staff and it will require fancier electronic medical record systems. To be perfectly honest with you, the rural areas don’t have the capacity to support,” Abuchaibe testified. “We’re barely surviving now with a lot of the physicians also doing a lot of the staff work and working as a team to be able to keep up.”
Idaho Family Policy Center Policy Associate Grace Howat, the only member of the public to testify in support of the bill Monday, said Idaho’s current opt-out practice “intrudes on the privacy of Idaho parents and intrudes on parental rights.”
“Parents are responsible for raising their children, not the state,” Howat testified.
Heather Gagliano, an Idaho mom and registered nurse, testified against the bill. She said she’s been fully informed of her rights to participate in Idaho’s vaccine registry for her two children over the years.
And as a public health professional who’s given thousands of vaccines, she said she’s seen the benefits of Idaho’s vaccine system’s ease of use for medical providers. But when kids immunization records are incomplete, or hand-written and often illegible, she has to delay care, Gagliano said.
Rep. Jordan Redman, R-Coeur d’Alene, made a motion that the committee send the bill to the House floor and recommend that it pass. Only the committee’s three Democrats opposed the vote, after a failed motion by House Minority Leader Ilana Rubel, D-Boise, to hold the bill in committee.
House Bill 397 now heads to the House floor, where lawmakers could debate it before sending it through to the Idaho Senate.
What is the Immunization Reminder Information System, or IRIS?
Idaho’s IRIS system is similar to those used by other states. It helps health care providers remind people when they, or their children, are due for vaccines. Child care providers can access it to verify a child’s vaccine status. It also maintains a record so that, for example, a patient with a short memory doesn’t get a tetanus booster shot every year.
The records are stored securely and made accessible only to health care providers, child care providers and schools. Individual patients also can request their own records, or opt to have their records excluded from IRIS.
Idaho Republican leadership sent a letter to former Idaho Attorney General Lawrence Wasden in 2021 accusing the Idaho Department of Health and Welfare of unlawfully using the state’s vaccine-record keeping system, calling for the agency to destroy its records on adult immunizations. An attorney for the Idaho Office of the Attorney General replied later that year that the department wasn’t unlawfully using the system and that lawmakers were wrong.
Idaho
Obituary for Elvin Don Wheeler at Eckersell Funeral Home
Idaho
Idaho Division of Human Resources recommends 4% raises for state employees • Idaho Capital Sun
The Idaho Division of Human Resources is recommending the Idaho Legislature approve salary increases of 4% or $1.25 per hour for all permanent state employees.
Idaho Division of Human Resources Administrator Janelle White made the recommendation Friday during a meeting of the Idaho Legislature’s Change in Employee Compensation Committee meeting at the Idaho State Capitol in Boise.
White recommended the 4% salary increase, along with flexibility to distribute the funds for recruitment and retention. She also recommended increasing the salary structure midpoints for positions including public safety and nursing and recommended a 5.5% market-based increase for the salary structure for IT and engineering positions.
White said the Division of Human Resources issued the recommendation after receiving testimony from more than 1,700 state employees.
“Across all pay ranges, employees consistently cite rising cost of living as a major concern with current wages failing to keep pace,” White said. “They are concerned about pay compression, which is where new or less experienced employees earn as much or more than more tenured employees. Turnover and vacant positions are leading to increased workloads and burnout.”
Pay and benefits are important for several reasons. The state is one of the largest employers in Idaho, and these decisions directly affect thousands of Idaho families.
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Additionally, many state agencies struggle with retention because state employees in many fields make far less than their counterparts at private businesses and even at city and county jobs, White said. Last year’s turnover rate was 19.2%.
The situation is exacerbated because of inflation and surging increases in housing costs in Idaho.
“In the last decade, inflation has risen by more than 30% while the average base salary for state employees has only increased by 4.2%,” White said.
“As a result, employees are finding it harder to afford basic expenses such as housing, food, transportation, health care and other essential goods and services,” White added. “As Idahoans continue to rely on the contributions of these dedicated individuals, it is crucial to recognize and appreciate the invaluable role they play in our society and to ensure they can provide necessities for their families.”
Part-time Idaho legislators set to receive larger pay increase than state employees
Meanwhile, Idaho legislators are set to receive a much higher salary increase next year of 25%.
Idaho citizens committee approves legislative salary increases
Last month, a different committee – the Citizens Committee on Legislative Compensation – approved increasing the annual salary for Idaho legislators from $19,913 to $25,000, the Idaho Capital Sun previously reported. Rather than a full time legislative body, the Idaho Legislature is a part-time, seasonal legislature that generally meets for about 80 to 90 days each year.
Some Republican legislators have vowed to fight their pay raise.
Low pay for Idaho state employees can lead to high turnover
White told legislators there is a high cost to continually recruit and retrain new employees to replace the state employees who quit their jobs to make higher pay doing the same kind of work somewhere else.
State employees make an average of $20,000 less per year than they would doing the same job for a different employer, White said. Over the course of a 30-year career, that would cost an average state employee $600,000 in lost wages to work for the state.
“When employees leave the state, it has a profound and lasting impact on the bottom line and our ability to deliver services,” White said. “The hidden cost of turnover is frequently overlooked, yet its consequences are very costly to the state. A general rule of thumb is that it costs an organization one to three times an employee’s annual salary to replace them.”
Nothing was settled Friday.
The Change in Employee Compensation Committee is scheduled to meet again Jan. 7 and Jan. 9, and the Idaho Legislature will have the final say on pay and benefits for state employees during the upcoming 2025 legislative session.
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Idaho
Pinecone Project aims to recover Idaho’s forests after Wapiti Fire • Idaho Capital Sun
One organization is aiming to help forest managers recover the trees lost in one of Idaho’s most devastating fires this summer.
On Nov. 3, the nonprofit Daughters of the American Revolution launched a fundraising campaign to raise money to help restore scorched south and central Idaho forests.
The Wapiti Fire, which began on July 24 by a lightning strike two miles southwest of Grandjean, spanned about 130,000 acres across the Boise National Forest, Sawtooth National Forest and the Salmon-Challis National Forest.
Coined the Pinecone Project, the funds raised will be used to hire professional tree climbers for the Sawtooth National Forest who will pick pinecones off trees to harvest mature seeds that will be used to grow and eventually replant trees back into the Sawtooth National Forest.
As of Monday, the Pinecone Project had raised a total of $11,500, including cash and check donations outside of the PayPal fundraiser, lead organizer Janice Beller said.
Beller is the Idaho state leader of the nonprofit. Like others in the organization, she is a descendant of someone who participated in the American Revolution. Conservation is important to the organization and important to her as a fifth generation Idahoan, she told the Idaho Capital Sun.
“Stanley is one of my favorite places in the world, and it has been in my family for years — literally generations,” she said. “When Stanley burned this summer, it just broke my heart and really had a kind of a profound impact on many members within Daughters of the American Revolution.”
‘We have a lot of need for seed’: Sawtooth forester says
Beller said a member of her leadership team reached out to a Stanley forest ranger to ask how they could help restore the forest. That’s when she learned about the shortage in seeds at Lucky Peak Nursery, located off Highway 21 outside of Boise.
Nelson Mills, the timber and silviculture program manager for the Sawtooth National Forest, said his biggest challenge is that forest staff hasn’t collected enough its seeds to replenish its seed bank at Lucky Peak Nursery.
Forest service staff right now have enough seeds to cover 50 to 80 acres of trees suitable for the Stanley area at its nursery, Mills said. However, that is not nearly enough to recover the forest from the Wapiti Fire.
Mills said that wildfires are a natural part of the ecosystem, but catastrophic wildfires like the Wapiti Fire will require artificial tree restoration. Of the 130,000 acres that were burned in the Wapiti Fire, 485 acres have been identified as requiring immediate reforestation need because the seed bed was completely burnt, Mills said. When a more formal assessment is done this winter, forest staff will likely find more acres in need of seedling planting, he said.
In addition to the seed shortage, harvesting pinecones is a complicated, risky and expensive process, Mills said.
The main way to collect pinecone seeds is by hiring professional tree climbers for $2,500 a day. Equipped with harnesses and spurred boots, they climb trees between 75 and 120 feet tall to collect pinecones at the perfect ripeness.
Timing is crucial, as ripeness varies by species and elevation, typically occurring between mid-August to mid-September, Mills said. An unripe pinecone won’t have a viable embryo, an overripe pinecone opens and releases its seeds, and pinecones that have fallen on the ground have been exposed to mold — making the seeds unsuitable for use, he said.
The pinecones are then transferred to Lucky Peak Nursery where they are tested, processed, cleaned and sown to make baby lodgepole pines, ponderosa pines and Douglas firs.
Mills said Project Pinecone creates flexibility for foresters because it is not congressionally appropriated. If it’s not a good pinecone producing year, he said foresters can wait until the next year, or look at other species in a different area.
“Everybody is stepping up through all phases of this reforestation issue to make a solution and grow forests back specifically in the Stanley basin that was affected by the Wapiti Fire,” Mills said. “It is an amazing collaborative effort, and I am just so thankful that people want to get together and grow a forest ecosystem.”
Fundraiser to last until spring 2025
Beller said the fundraiser will last until May, when she plans to hold a ceremony to present the funds to the Stanley community and forest officials. She said she is encouraging individuals to donate, as it is tax deductible, and people who donate more than $10 will receive a wooden magnet with the project’s logo.
The total goal of the project is to raise $15,000, which would pay for six days of pinecone picking.
The fundraiser is partnering with Boise Cascade, which committed to a day’s worth of pinecone picking to the project.
“Boise Cascade’s roots run deep in the state of Idaho, and we are honored to contribute to this incredible project to help restore some of Idaho’s most cherished forest lands that were burned during the brutal fire season of summer 2024,” Boise Cascade Vice President of Human Resources and contributions committee chair Angella Broesch, told the Sun. “As one of the largest producers of wood products in North America and a leading wholesale distributor of building products in the U.S., our company is committed to contributing to responsible forestry practices and protecting our environment.”
Having surpassed the halfway point of its goal, Beller said the successful donations show how much people from Idaho and outside of Idaho care about the Stanley area.
“We’ve heard so many people say that it’s truly the heart of Idaho, and it means a great deal to them and their families,” Beller said. “So to see everybody come together and contribute even just a little to bring it back is very humbling.”
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